210742 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1
QJ� ONE CIVIC SQUARE ARAMARK
CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100 CHECK AMOUNT: $213.78
o; INDIANAPOLIS IN 46268 CHECK NUMBER: 210742
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350900 26078 917199 8 . 00 COFFEE CONTRACT
1110 4350900 26078 9992901 69 . 00 COFFEE CONTRACT
1205 4238900 26488 9992972 136 . 78 COFFEE & FILTERS
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Send Payment To:
8435 Georgetown Road #100 DATE 07/02/12
Indianapolis, IN 46268
(317) 396-1921 CUS T# 26282
(317) 396-2658 P O#
INVOICE# 917199
INVOICE #9992901 C E* ROUTE 11
.ROUTE 77 .... RT 77-OCS MATTHEW M
DRIVER 77 MATTHEW MATZ
06/2912012 ® 02:46pm DELIVER TO:
Carmel Police Department
CUSTOMER 26282 Next scheduled Fr 07127/12 3 Civic S qu a r e
CARMEL POLICE DEPARTMENT Carmel, I N 46032
3 Civic Square
Carmel, IN 46032
TERMS: CHARGE Robert Robinson
(317) 571-2548
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT Cc QTY PRICE TOTAL
[1914] CORY DEEP ROAST 4211.5 1 23.00 3 6----
EACH 4 $2 . 00 $8 . 00
TOTAL DELIVERED 3 69.00
TAX EXEMPT ------
TOTAL DEPOSIT .00
INVOICE TOTAL 69.00
NO PAYMENT RECORDED
This Administrative Charge is to
offset operating costs and is not
intended to be a tip, gratuity or
service charge for the benefit of
the employee.
CUSTOMER SIGNATURE: }
J
INV NOTE:
A/R NOTE :
PACK NOTE :
NOTE 1 :
NOTE 2 :
SUBTOTAL $8 . 00
TAX
ADMINISTRATIVE CHARGE
This Administrative Charge is to TOTAL $8 . 00
offset operating costs and is not
intended to be a tip, gratuity or AMOUNT RECEIVED:
service charge for the benefit of
the employee . BALANCE DUE: $8 . 00
PAGE 1 OF 1
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Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/29/12 9992901 coffee $69.00
07/02/12 917199 sugar $8.00
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aramark Refreshment Services, LLC
IN SUM OF $
8435 Georgetown Road, Suite 100
Indianapolis, IN 46268
$77.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26078 9992901 43-509.00 $69.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
26078 917199 43-509.00 $8.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, July 11, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
C9,
,
Send Payment To: v
8435 Georgetown Road #100
Indianapolis, IN 46268
(317) 396-1921 Z B 6
(317) 396-2658
INVOICE—#9992972
ROUTE 77,,,.,... RT 77-OCS MATTHEW M
DRIVER-'7.7 .. MATTHEW MAIZ
0612912012 @ 02:37pm
CUSTOMER_26278 Next scheduled Fr 07127112
CITY OF CARMEL-MAYORS OFFICE
Mayors Office
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
--- --- ------
[1668] COFFEEMAIE HIv:LLNUT 16OZ 1 4.28 1 4.28
14791 CORY COLOMBIAN 4l,'7 u 1 43.00` 2 86.00
5969 CORY COLOM DECAF 4212 1 44,50 1 44.50
1005] u CORY SUGAR CANISIER 1 2.00 1 2.00
TOTAL DELIVERED 5 136`78
TAX EXEMPT ------
TOTAL DEPOSIT .00
INVOICE TOTAL 136.78
NO PAYMENT RECORDED
This Administrative Charge is to
offset operating costs and is not
intended to be a tip, gratuity or
service charge for the benefit of ED the employee.CUSTOMER SIGNATURE:
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WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Services ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF $ CITY OF CARMEL
100 An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
8 Payee
Purchase Order No.
PROPRIATION FOR
Terms
I Department
Date Due
Invoice Invoice Description Amount
ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s)or bill(s))
I hereby certify that the attached invoice(s), or 06/29/12 .9992972 $136.78
42-390.99 $136.78
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, July 16, 2012
Director, Administration
Title
r classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
le highway fund with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO.
ARAMARK Refreshment
8435 Georgetown Road
Indianapolis, IN 46268
$136.
ON ACCOUNT OF AF
Administratior
PO#/Dept. INVOICE NO.
26488 9992972
Cost distribution led(
claim paid motor veh